Working conditions, missed care and patient experience in home care nursing in Italy: An observational study.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-07-01 Epub Date: 2024-05-06 DOI:10.1111/phn.13320
Annamaria Bagnasco, Rosaria Alvaro, Loreto Lancia, Duilio Fiorenzo Manara, Laura Rasero, Gennaro Rocco, Alessandra Burgio, Marco Di Nitto, Milko Zanini, Maurizio Zega, Giancarlo Cicolini, Loredana Sasso, Beatrice Mazzoleni
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Abstract

Introduction: The aging of the population requires an appropriate knowledge of the type of care that needs to be provided to inform healthcare policies. In Italy, neither home care nursing, nor the patient experiences have ever been described.

Objectives: To describe the characteristics of nurses and care recipients involved in home care.

Methods: A descriptive cross-sectional study conducted in 18 Italian Regions. Between April and October 2023, data from nurses and patients involved in home care were collected through two surveys. Psychosocial conditions in workplaces, missed care, and care experiences were assessed using validated tools. Descriptive statistics and Pearson's correlations were performed.

Results: A total of 46 local healthcare units were included in this study, with a total of 2549 nurses and 4709 care recipients. Nurses (mean age 46.60; 79.48% female; 44.68% regional nursing diploma as the highest qualification) reported good working conditions (42.37; SD = 12.25; range = 0-100) and a high mean number of missed care activities (5.11; SD = 3.19; range 0-9). Most nurses (83.41%) reported high levels of job satisfaction, while 20.28% intended to leave their job. Patients (mean age 75.18; 57.57% female; 36.95% primary school), on the other hand, rated positively the care they had received (8.23; range = 0-10).

Conclusions: Despite the perception of critical issues at work and some missed care, satisfaction in nurses and patients was high. These data constitute a preliminary snapshot of the studied phenomena, which will be investigated through more in-depth analyses.

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意大利家庭护理中的工作条件、护理遗漏和病人体验:观察研究。
导言:人口老龄化要求对需要提供的护理类型有适当的了解,以便为医疗保健政策提供依据。在意大利,无论是家庭护理还是病人的经历都从未被描述过:描述参与家庭护理的护士和护理对象的特征:方法:在意大利 18 个大区开展描述性横断面研究。2023 年 4 月至 10 月间,通过两项调查收集了参与家庭护理的护士和患者的数据。使用经过验证的工具对工作场所的社会心理状况、错过的护理和护理经验进行了评估。调查采用了描述性统计和皮尔逊相关性分析:共有 46 个地方医疗单位参与了这项研究,其中包括 2549 名护士和 4709 名护理对象。护士(平均年龄 46.60 岁;79.48% 为女性;44.68% 以地区护理文凭为最高学历)表示工作条件良好(42.37;SD = 12.25;范围 = 0-100),错过护理活动的平均次数较多(5.11;SD = 3.19;范围 0-9)。大多数护士(83.41%)表示工作满意度较高,20.28%的护士打算离职。另一方面,患者(平均年龄 75.18 岁;女性占 57.57%;小学文化程度占 36.95%)对所接受的护理给予了积极的评价(8.23;范围 = 0-10):结论:尽管存在工作中的关键问题和一些护理失误,但护士和患者的满意度都很高。这些数据是对所研究现象的初步概括,将通过更深入的分析进行研究。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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